Influência do escore ecográfico e näo da comissurotomia cirúrgica prévia no resultado da valvoplastia mitral percutânea por baläo / Influence of the echocardiographic score and not of the previous surgical mitral commissurotomy on the outcome of percutaneous mitral balloon valvuloplasty
Arq. bras. cardiol
;
76(6): 473-482, June 2001. tab
Artículo
en Portugués, Inglés
| LILACS
| ID: lil-286365
ABSTRACT
OBJECTIVE:
To evaluate prior mitral surgical commissurotomy and echocardiographic score influence on the outcomes and complications of percutaneous mitral balloon valvuloplasty.METHODS:
We performed 459 complete mitral valvuloplasty procedures. Four hundred thirteen were primary valvuloplasty and 46 were in patients who had undergone prior surgical commissurotomy. The prior commissurotomy group was older, had higher echo scores, and a tendency toward a higher percentage of atrial fibrillation.RESULTS:
When the groups were compared with each other, no differences were found in pre- and postprocedure mean pulmonary artery pressure, mean mitral gradient, mitral valve area, and mitral regurgitation . Because we found no significant differences, we subdivided the entire group based on echo scores, those with echo scores <=8 and those with echo scores >8 the mitral valve area being higher in the <=8 echo score group 2.06Ý0.42 versus 1.90Ý0.40cm² (p=0.0090) in the >8 echo score group.CONCLUSION:
Dividing the groups based on echo score revealed that the higher echo score group had smaller mitral valve areas postvalvuloplasty
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Ecocardiografía
/
Estenosis de la Válvula Mitral
Tipo de estudio:
Estudio observacional
Límite:
Adulto
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
/
Portugués
Revista:
Arq. bras. cardiol
Asunto de la revista:
Cardiología
Año:
2001
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Universidade Federal Fluminense/BR
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